Fillable Little League Volunteer Application - 2020 (City of Oakland)

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Little League Volunteer Application - 2020 (City of Oakland)

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The Little League Volunteer Application - 2020 (City of Oakland) form is 1 page long and contains:

  • 2 signatures
  • 12 check-boxes
  • 48 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Oakland

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This volunteer application should only be used if a league is manually entering information into JDP
or an outside background check provider that meet the standards of Little League Regulations 1(c)9.
THIS FORM SHOULD NOT BE COMPLETED IF A LEAGUE IS UTILIZING THE JDP QUICKAPP. Visit
LittleLeague.org/localBGcheck for more information.
A COPY OF VALID GOVERNMENT ISSUED PHOTO IDENTIFICATION MUST BE ATTACHED TO
COMPLETE THIS APPLICATION.
Name ______________________________________________________________ Date ________
First MiddleNameorInial Last
Address ______________________________________________________________________
City _________________________________ State ________________ Zip _______________
Social Security # (mandatory) __________________________________________________________________________
Cell Phone ___________________________ Business Phone __________________________
Home Phone: _________________________ E-mail Address: __________________________
Date of Birth __________________________________________________________________
Occupaon ___________________________________________________________________
Employer _____________________________________________________________________
Address ______________________________________________________________________
Special professional training, skills, hobbies: _________________________________________
_____________________________________________________________________________
Communityaliaons(Clubs,ServiceOrganizaons,etc.):
_____________________________________________________________________________
Previousvolunteerexperience(includingbaseball/soballandyear):
_____________________________________________________________________________
1.Doyouhavechildrenintheprogram? Yes No
Ifyes,listfullnameandwhatlevel? __________________________________________
2.SpecialCercaon(CPR,Medical,etc.)? Yes No If yes, list: _____________________
3.Doyouhaveavaliddriver’slicense? Yes No
Driver’sLicense#: _________________________________ State ________________
4.Haveyoueverbeenchargedwith,convictedof,pleadnocontest,orguiltytoanycrime(s)
involvingoragainstaminor,orofasexualnature?
If yes, describe each in full: ______________________________________ Yes No
(IfvolunteeransweredyestoQueson4,thelocalleaguemustcontacttheLileLeagueInternaonalSecurityManager.)
5.Haveyoueverbeenconvictedoforpleadnocontestorguiltytoanycrime(s) Yes No
If yes, describe each in full: _________________________________________________
(Answeringyestoqueson5,doesnotautomacallydisqualifyyouasavolunteer.)
6.Doyouhaveanycriminalchargespendingagainstyouregardinganycrime(s)? Yes No
If yes, describe each in full: _________________________________________________
(Answeringyestoqueson6,doesnotautomacallydisqualifyyouasavolunteer.)
7.Haveyoueverbeenrefusedparcipaoninanyotheryouthprograms? Yes No
Ifyes,explain: ___________________________________________________________
Little League
®
Volunteer Application - 2020
Do not use forms from past years. Use extra paper to complete if additional space is required.
Pleaselistthreereferences,atleastoneofwhichhasknowledgeofyourparcipaonasa
volunteerinayouthprogram:
Name/Phone
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
IFYOULIVEINASTATETHATREQUIRESASEPARATEBACKGROUNDCHECKBYLAW,PLEASEATTACHACOPYOFTHATSTATE’S
BACKGROUNDCHECK.FORMOREINFORMATIONONSTATELAWS,VISITOURWEBSITE:LileLeague.org/BgStateLaws
ASACONDITIONOFVOLUNTEERING,IgivepermissionfortheLileLeagueorganizaontoconductbackgroundcheck(s)on me
nowandaslongasIconnuetobeacvewiththeorganizaon,whichmayincludeareviewofsexoenderregistries(someof
whichcontainnameonlysearcheswhichmayresultinareportbeinggeneratedthatmayormaynotbeme),childabuseand
criminalhistoryrecords.Iunderstandthat,ifappointed,myposioniscondionalupontheleaguereceivingnoinappropriate
informaononmybackground.IherebyreleaseandagreetoholdharmlessfromliabilitythelocalLileLeague,LileLeague
Baseball,Incorporated,theocers,employeesandvolunteersthereof,oranyotherpersonororganizaonthatmayprovide
suchinformaon.Ialsounderstandthat,regardlessofpreviousappointments,LileLeagueisnotobligatedtoappointme
toavolunteerposion.Ifappointed,Iunderstandthat,priortotheexpiraonofmyterm,Iamsubjecttosuspensionbythe
PresidentandremovalbytheBoardofDirectorsforviolaonofLileLeaguepoliciesorprinciples.
Applicant Signature ____________________________________________ Date _____________
IfMinor/ParentSignature _______________________________________ Date _____________
ApplicantName(pleaseprintortype) ________________________________________________
NOTE: The local Little League and Little League Baseball, Incorporated will not discriminate against any person on
the basis of race, creed, color, national origin, marital status, gender, sexual orientation or disability.
LOCAL LEAGUE USE ONLY:
Backgroundcheckcompletedbyleagueocer_______________________________
on __________________________________________________________________
System(s)usedforbackgroundcheck(minimumofonemustbechecked):
Regulaon I(c)(9) Mandates all checks include criminal records and sex oender registry records
*PleasebeadvisedthatifyouuseJDPandthereisanamematchinthefewstateswhereonlynamematch
searchescanbeperformedyoushouldnofyvolunteersthattheywillreceivealeeroremaildirectlyfrom
JDPincompliancewiththeFairCreditReporngActcontaininginformaonregardingallthecriminalrecords
associatedwiththename,whichmaynotnecessarilybetheleaguevolunteer.
Only aach to this applicaon copies of background check reports that reveal convicons of this applicaon.
*JDP
SexOffenderRegistryDataandNationalCriminal
Recordscheck,asmandatedinthecurrentseason’s
official regulations
LeagueOfficial
Coach
Umpire
Field Maintenance
Manager
Scorekeeper
Concession Stand
Other _____________
Last Updated: 10/10/2019
Inwhichofthefollowingwouldyouliketoparcipate?(Checkoneormore.)
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Little League Volunteer Application - 2020 (City of Oakland)

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Completed 12 February 2021

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